ICD-10-CM Billable Code

F60.4

Histrionic personality disorder

Clinical Classification Guidelines

Inclusion Terms

  • Hysterical personality (disorder)
  • Psychoinfantile personality (disorder)

Medical Intelligence & Overview

Histrionic Personality Disorder (HPD) is a mental health condition characterized by a pattern of attention-seeking behaviors, excessive emotionality, and a strong desire for approval from others. People with HPD often strive to be the center of attention and may feel uncomfortable when they are not the focus of social interaction. This disorder can affect personal relationships as well as social and professional life, but with understanding and support, individuals can manage its symptoms effectively.

Causes & Symptoms

Clinical Causes: Genetic factors that influence personality traits Childhood experiences, including neglect or excessive attention Family history of personality disorders or mental health conditions Environmental influences such as cultural norms emphasizing appearance and dramatization

Key Symptoms: Excessive emotionality and theatrical behaviors Desire to be the center of attention at all times Inappropriate or rapidly shifting emotional responses Use of physical appearance to draw attention Alluring or provocative behavior intended to attract notice Shallow and rapidly changing emotions Difficulty maintaining long-term relationships due to attention-seeking behaviors Suggestibility, meaning easily influenced by others or current trends An exaggerated sense of intimacy with others

Diagnostic & Treatment

Diagnosis Path: Diagnosis of HPD is typically made through clinical evaluation, including interviews and psychological assessments. Healthcare providers look for a consistent pattern of symptoms that interfere with daily functioning and relationships. Since the behavior can overlap with other disorders, a comprehensive assessment helps to rule out alternative explanations. Standardized diagnostic criteria from the DSM-5 are used as a guide for diagnosis.

Treatment Protocols: Psychotherapy, especially talk therapy or counseling, aimed at understanding underlying emotional issues Cognitive-behavioral therapy (CBT) to help modify unhealthy patterns of thinking and behavior Group therapy to develop healthy social skills and improve interpersonal relationships Medication may be prescribed to address co-occurring conditions such as depression or anxiety, but there is no specific medication for HPD itself Support from family and friends can also be beneficial in managing social and emotional challenges

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is F60.4 a billable ICD-10 code?
Yes, F60.4 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report F60.4?
Clinical documentation must specify the nature of Histrionic personality disorder and any associated comorbidities for accurate reporting.

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Clinical Meta Tags

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